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KPMG LLP Complex 255210
COMMUNITY HOSPITAL
Provider CCN: 150125In Lieu of Form
CMS255210Period :
From: 07/01/2014
To: 06/30/2015Run Date: 11/30/2015
Run Time: 14:11
Version: 2015.10 (11/17/2015)HOSPITAL
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01
Gather all necessary information related to the provider
02
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03
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04
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05
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Who needs provider ccn 15-0125?
01
Healthcare providers or organizations who are required to register or update their information with the relevant authorities.
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What is provider ccn 15-0125?
Provider CCN 15-0125 is a unique identification number assigned to a specific healthcare provider.
Who is required to file provider ccn 15-0125?
All healthcare providers who have been assigned the CCN 15-0125 are required to file the necessary documentation.
How to fill out provider ccn 15-0125?
Provider CCN 15-0125 must be filled out with accurate and up-to-date information about the healthcare provider.
What is the purpose of provider ccn 15-0125?
The purpose of Provider CCN 15-0125 is to accurately identify and track specific healthcare providers for administrative and billing purposes.
What information must be reported on provider ccn 15-0125?
Provider CCN 15-0125 must include information such as provider name, address, contact details, and services offered.
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